| Hung-chuan Cheng,m.d., Inc. | |
|
11100 Warner Ave Suite 118 Fountain Valley CA 92708-7506 | |
| (714) 444-0724 | |
| Not Available |
| Full Name | Hung-chuan Cheng,m.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11100 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Hung-chuan Cheng (PRESIDENT) |
| Authorized Official Contact | 7144440724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hung-chuan Cheng,m.d., Inc. 11100 Warner Ave Suite 118 Fountain Valley CA 92708-7506 Ph: (714) 444-0724 | Hung-chuan Cheng,m.d., Inc. 11100 Warner Ave Suite 118 Fountain Valley CA 92708-7506 Ph: (714) 444-0724 |
| NPI Number | 1760797690 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 3476813775 |
|---|---|
| Medicare Enrollment ID | O20180206001425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760797690 | NPI | - | NPPES |
| 00A829480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A82948 (California) | Primary |
| Provider Name | Hung-chuan Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053389023 PECOS PAC ID: 4789643818 Enrollment ID: I20041005000995 |
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